Organization Active NPI

Brighton Way Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1487795340
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY37949 Issued in CA
Legal business name
BRIGHTON WAY PHARMACY
Practice address
6333 Wilshire Blvd
Los Angeles, CA 90048-5702
Phone
(323) 651-1595
Fax
(323) 951-1095
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Yepez
Title
Manager
Phone
(323) 651-1595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY37949 CA Primary

Addresses

Primary practice location

6333 Wilshire Blvd
Los Angeles, CA 90048-5702

Mailing address

6333 Wilshire Blvd
Los Angeles, CA 90048-5702
Phone (323) 651-1595

Other identifiers 1

IdentifierTypeStateIssuer
0575805OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WEST WILSHIRE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1487795340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-651-1595",
            "fax_number": "323-951-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-651-1595",
            "fax_number": "323-951-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON WAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "YEPEZ",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1595"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0575805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST WILSHIRE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.